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Individual

DAWN WOLF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
8132 HUDSON AVE, HUDSON, FL 34667-8571
(727) 863-3100
Mailing address
15439 SHOSHONE TRL, BROOKSVILLE, FL 34604-8439
(352) 403-8382

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13748
FL

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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